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Client Information Form
***If you have not done so already, Please call Dave at 618-550-2800 to schedule inspection date and time.***
If you have any questions in regards to the completion of this form, please call Kathy at 618-654-8585 or 618-920-1211. Thank you.
Date of Scheduled Inspection**
MM slash DD slash YYYY
Approximate start time of Scheduled Inspection**
:
HH
MM
AM
PM
AM/PM
Customer name(s)
Current address
City
State
Zip Code
Phone #1
Phone #2
Email #1
Email #2
Buyer's realtor name
Buyer's realtor company
Buyer's realtor phone number
Buyer's realtor e-mail
How do I access the home
Supra Lockbox
Combination Lock
Other
Please explain (optional)
Inspection address
City
State
Zip Code
Status
Vacant
Occupied
Age of home in years
Approximate square footage
Type
1-story
1.5-story
2-story
Condo/Townhouse
Other
Please explain:
Space(s) below grade (check all that apply)
Basement
Crawlspace
Slab
Cellar
Partial Crawl
Garage
Attached
Detached
Carport
None
Electric
On
Off
Water
On
Off
Gas/Oil
On
Off
Termite Inspection
Yes
No
Radon Test
Yes
No
Sewer Scoping
Yes
No
Who will be present at the inspection? Check all that apply
Buyer
Buyer's Representative
Buyer's Agent
SUBMIT COMPLETED FORM
- this information will be now be sent to Inspector Plus Inc.
Comments
This field is for validation purposes and should be left unchanged.
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